Jeffrey A Dedelow (NPI# 1376758524, PAC ID# 4385744069) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1376758524 |
| PAC ID by PECOS | 4385744069 |
| Professional Enrollment ID | I20110502000358 |
| Full Name | Jeffrey A Dedelow |
| Organization Legal Name | SOUTHERN INDIANA RADIOLOGICAL ASSOCIATES INC |
| Address |
2209 John R Wooden Dr I U Health Morgan Hospital Martinsville IN 46151-1840 |
| Phone Number | 8123328242 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3173415890 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150051 | INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL |
| 150056 | INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS) |
| 151306 | INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL |
| 151328 | INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2900 16th St, Bedford, IN 47421-3510 | 8123328242 | SOUTHERN INDIANA RADIOLOGICAL ASSOCIATES INC |
| 429 S Landmark Ave, Bloomington, IN 47403-5003 | 8123328242 | SOUTHERN INDIANA RADIOLOGICAL ASSOCIATES INC |
| 500 S Landmark Ave, Bloomington, IN 47403-3239 | 8123337676 | SIRA IMAGING CENTER LLC |
| 602 W 2nd St, Bloomington, IN 47403-2318 | 8123328242 | SOUTHERN INDIANA RADIOLOGICAL ASSOCIATES INC |
| 2209 John R Wooden Dr, I U Health Morgan Hospital, Martinsville, IN 46151-1840 | 8123328242 | SOUTHERN INDIANA RADIOLOGICAL ASSOCIATES INC |
| Organization Legal Name | SOUTHERN INDIANA RADIOLOGICAL ASSOCIATES INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Riza Seit | Diagnostic Radiology | Southern Indiana Radiological Associates Inc | 2209 John R Wooden Dr, I U Health Morgan Hospital, Martinsville, IN 46151-1840 |
| Nicholas Paul Miller | Diagnostic Radiology | Southern Indiana Radiological Associates Inc | 429 S Landmark Ave, Bloomington, IN 47403-5003 |
| Mark Bisesi | Diagnostic Radiology | Southern Indiana Radiological Associates Inc | 602 W 2nd St, Bloomington, IN 47403-2318 |
| Douglas D Geiger | Diagnostic Radiology | Southern Indiana Radiological Associates Inc | 2209 John R Wooden Dr, I U Health Morgan Hospital, Martinsville, IN 46151-1840 |
| Bruce Monson | Diagnostic Radiology | Southern Indiana Radiological Associates Inc | 429 S Landmark Ave, Bloomington, IN 47403-5003 |
| Sean Flynn | Diagnostic Radiology | Southern Indiana Radiological Associates Inc | 429 S Landmark Ave, Bloomington, IN 47403-5003 |
| John F Alexander | Diagnostic Radiology | Southern Indiana Radiological Associates Inc | 429 S Landmark Ave, Bloomington, IN 47403-5003 |
| Neal Abdullah | Diagnostic Radiology | Southern Indiana Radiological Associates Inc | 429 S Landmark Ave, Bloomington, IN 47403-5003 |
| Todd A Winkler | Diagnostic Radiology | Southern Indiana Radiological Associates Inc | 429 S Landmark Ave, Bloomington, IN 47403-5003 |
| George Md Wolfer Jr. | Interventional Radiology | Southern Indiana Radiological Associates Inc | 2209 John R Wooden Dr, I U Health Morgan Hospital, Martinsville, IN 46151-1840 |
| Street Address |
2209 JOHN R WOODEN DR I U HEALTH MORGAN HOSPITAL |
| City | MARTINSVILLE |
| State | IN |
| Zip | 46151-1840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Riza Seit | Diagnostic Radiology | Southern Indiana Radiological Associates Inc | 2209 John R Wooden Dr, I U Health Morgan Hospital, Martinsville, IN 46151-1840 |
| Roopa A Rao | Cardiovascular Disease (cardiology) | Indiana University Health Inc | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 |
| Douglas D Geiger | Diagnostic Radiology | Southern Indiana Radiological Associates Inc | 2209 John R Wooden Dr, I U Health Morgan Hospital, Martinsville, IN 46151-1840 |
| Harvey Feigenbaum | Cardiovascular Disease (cardiology) | Indiana University Health Inc | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 |
| Stephen L Hardin | Family Medicine | Iu Health Morgan Physicians LLC | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 |
| Chao-wen Lee | Cardiovascular Disease (cardiology) | Indiana University Health Inc | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 |
| Ruth E Dwyer | Nurse Practitioner | Iu Health Morgan Physicians LLC | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 |
| Julie M Clary | Cardiovascular Disease (cardiology) | Indiana University Health Inc | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 |
| Lori J Beck | Nurse Practitioner | Indiana University Health Inc | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 |
| Rolf P Kreutz | Cardiovascular Disease (cardiology) | Indiana University Health Inc | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Cunningham | Optometry | Martinsville Vision Clinic PC | 219 E Washington St, Martinsville, IN 46151-1554 |
| Kelly Cunningham | Optometry | Martinsville Vision Clinic PC | 219 E Washington St, Martinsville, IN 46151-1554 |
| Michael A Phelps | Chiropractic | 690 E Morgan St, Martinsville, IN 46151-1640 | |
| Michael L Oneal | Optometry | 1089 E Morgan St, Martinsville, IN 46151-1744 | |
| Robert C Beesley | Internal Medicine | 2200 John R Wooden Dr, Suite 204, Martinsville, IN 46151-1838 | |
| Brian A O Leary | Cardiovascular Disease (cardiology) | Indiana University Health Inc | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 |
| Douglas K Nam | Cardiovascular Disease (cardiology) | Indiana University Health Inc | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 |
| Stephen G Sawada | Cardiovascular Disease (cardiology) | Indiana University Health Inc | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 |
| Michael Scott Emery | Cardiovascular Disease (cardiology) | Indiana University Health Inc | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 |
| Deepak Bhakta | Cardiovascular Disease (cardiology) | Indiana University Health Inc | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 |
| Find all physicians in zip 46151 | |||
| City | MARTINSVILLE |
| Zip Code | 46151 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MARTINSVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jeffrey A Dedelow.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.